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North Dakota rates for HCPCS A5510

For Diabetics Only Direct Formed Compression Molded To Patients Foot Without External Heat Source Multiple-Density Insert(S) Prefabricated Per Shoe (Special Coverage Instructions Apply. See Mcm: 2134)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.65 / $49.25 / $50.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $42.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $88.94 / $88.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.94 / $88.94 / $88.94